Kaiser Medical Plan HMO (CA Only)

Kaiser is an HMO medical plan offered to employees based in California only. This plan requires you to designate a Kaiser primary care doctor who manages your care and refers you to specialists. Coverage is for in-network services at Kaiser facilities only. This plan features co-pays for most services and some services, such as lab and x-rays, are offered with no out-of-pocket cost.

Insurance cards

You will receive your medical ID card about 2 weeks after you enroll in benefits. You can also call Kaiser at (800) 464-4000 and advise you are a new enrollee calling for your ID number. You’ll need to provide your personal identifying information, and they will provide your Kaiser ID number.

How to get care

With Kaiser, you’ll need to choose a primary care provider from the provider directory and schedule an appointment with them. You can register for an account for online access to your ID cards, medical and Rx benefits, to message your provider, and more.

Traveling Internationally?

To get care away from home 24/7, you may call Kaiser’s Away from Home Travel line at 951-268-3900. You may also visit Kaiser’s website for more information.

Kaiser Resources

Have questions on your benefits?

Contact the UMG
Benefit Service Center
at (888) 526-2794
from 8 am – 5 pm PT.

Kaiser (Plan #227476)
Phone: (800) 464-4000
Website: kp.org

Medical plan comparison

Anthem PPO
Anthem PPO
Anthem Co-Pay
Kaiser HMO
Plan Features
In-Network
Out-of-Network
In Network Only
In Network Only
Annual Deductible
None
$750 per member
$2,000 per family
None
None
Annual Out-of-Pocket Maximum
$1,500 per member
$3,000 per family
$3,000 per member
$9,000 per family
$800 per member
$2,400 per family
$1,500 per member
$3,000 per family
Lifetime Maximum
Unlimited
Unlimited
Unlimited
Unlimited
Preventive Care
No co-pay
30% coinsurance*
No co-pay
No co-pay
Primary Care
$20 co-pay
Not covered
$20 co-pay
$15 co-pay
Telehealth
No co-pay (LiveHealth Online)
30% coinsurance*
No co-pay (LiveHealth Online)
No co-pay (Kaiser Video Visit)
Specialist
$40 co-pay
30% coinsurance*
$30 co-pay
$30 co-pay
Urgent Care
$20 co-pay

30% coinsurance*

$20 co-pay
$15 co-pay
Emergency Room
$100/visit (waived if admitted)
$100/visit (waived if admitted)
$100/visit (waived if admitted)
$100/visit (waived if admitted)
Mental/Behavioral Health (Outpatient)
No co-pay
30% coinsurance*
No co-pay
$15 co-pay
Mental/Behavioral Health (Inpatient)
10% coinsurance
30% coinsurance*
$200 co-pay
/admission
$100 co-pay
/admission
Inpatient Hospitalization
10% coinsurance
30% coinsurance* (lifetime maximum of $30,000/member)
$200 co-pay
/admission
$100 co-pay
/admission
Outpatient Surgery
10% coinsurance
30% coinsurance*
No co-pay
$30/
procedure
Infertility Services
10% coinsurance (lifetime maximum of $30,000/member)
No co-pay (lifetime maximum of $30,000/member)
Please review the SPD for specific services and coverage.
Lab & X-Ray
10% coinsurance
$142
No co-pay
No co-pay
Anthem PPO
Anthem PPO
Anthem Co-Pay
Kaiser HMO
Your 2025 Monthly Cost for Coverage**
Your 2025 Monthly Cost for Coverage**
Your 2025 Monthly Cost for Coverage**
Your 2025 Monthly Cost for Coverage**
Your 2025 Monthly Cost for Coverage**
Employee Only
$355
$355
$113
$137
Employee + Spouse
$333
$333
$250
$282
Employee + Children
$469
$469
$233
$237
Employee + Family
$328
$344
*30% coinsurance of plan allowed charges; out-of-network providers may balance bill for additional fees.
**Pre-tax payroll deduction.

Have questions about your benefits?

Contact the UMG Benefits Service Center at (888) 526-2794 from Monday to Friday 8 am – 5 pm PT.